|
9284
|
OTHER
|
Ipilimumab Injection
|
2
|
2
|
—
|
—
|
$90,881.46
|
$102,374.97
|
$96,628.21
|
2025-07-01
|
|
MS DRG V39 (FY2022) 480
|
OTHER
|
Hip And Femur Procedures Except Major Joint With McC
|
10
|
10
|
$91,278.72
|
$59,331.17
35% off
|
$80,325.27
|
$89,453.15
|
$85,482.52
|
2026-07-31
|
|
MS DRG V39 (FY2022) 207
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
10
|
10
|
$79,489.57
|
$51,668.22
35% off
|
$69,950.82
|
$77,899.78
|
$74,441.98
|
2026-07-31
|
|
MS DRG V39 (FY2022) 330
|
OTHER
|
Major Small And Large Bowel Procedures With Cc
|
10
|
10
|
$76,322.45
|
$49,609.59
35% off
|
$67,163.76
|
$74,796.00
|
$71,475.98
|
2026-07-31
|
|
MS DRG V39 (FY2022) 493
|
OTHER
|
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc
|
10
|
10
|
$73,518.59
|
$47,787.08
35% off
|
$64,696.36
|
$72,048.22
|
$68,850.16
|
2026-07-31
|
|
MS DRG V39 (FY2022) 467
|
OTHER
|
Revision Of Hip Or Knee Replacement With Cc
|
10
|
10
|
$72,591.20
|
$47,184.28
35% off
|
$63,880.26
|
$71,139.38
|
$67,981.66
|
2026-07-31
|
|
9287
|
OTHER
|
Brentuximab Vedotin Inj
|
1
|
1
|
—
|
—
|
$66,435.22
|
$66,435.22
|
$66,435.22
|
2025-07-01
|
|
MS DRG V39 (FY2022) 329
|
OTHER
|
Major Small And Large Bowel Procedures With McC
|
10
|
10
|
$65,400.61
|
$42,510.40
35% off
|
$57,552.54
|
$64,092.60
|
$61,247.67
|
2026-07-31
|
|
MS DRG V39 (FY2022) 481
|
OTHER
|
Hip And Femur Procedures Except Major Joint With Cc
|
10
|
10
|
$65,309.53
|
$42,451.19
35% off
|
$57,472.39
|
$64,003.34
|
$61,162.38
|
2026-07-31
|
|
MS DRG V39 (FY2022) 522
|
OTHER
|
Hip Replacement With Principal Diagnosis Of Hip Fracture Without McC
|
10
|
10
|
$64,976.81
|
$42,234.93
35% off
|
$57,179.59
|
$63,677.27
|
$60,850.79
|
2026-07-31
|
|
MS DRG V39 (FY2022) 470
|
OTHER
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without …
|
10
|
10
|
$64,976.81
|
$42,234.93
35% off
|
$57,179.59
|
$63,677.27
|
$60,850.79
|
2026-07-31
|
|
MS DRG V39 (FY2022) 288
|
OTHER
|
Acute And Subacute Endocarditis With McC
|
10
|
10
|
$62,532.24
|
$40,645.96
35% off
|
$55,028.37
|
$61,281.60
|
$58,561.44
|
2026-07-31
|
|
MS DRG V39 (FY2022) 870
|
OTHER
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
10
|
10
|
$61,948.89
|
$40,266.78
35% off
|
$54,515.02
|
$60,709.91
|
$58,015.14
|
2026-07-31
|
|
MS DRG V39 (FY2022) 956
|
OTHER
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
10
|
10
|
$58,407.75
|
$37,965.04
35% off
|
$51,398.82
|
$57,239.60
|
$54,698.85
|
2026-07-31
|
|
MS DRG V39 (FY2022) 394
|
OTHER
|
Other Digestive System Diagnoses With Cc
|
10
|
10
|
$57,776.10
|
$37,554.47
35% off
|
$50,842.97
|
$56,620.58
|
$54,107.32
|
2026-07-31
|
|
653
|
MS_DRG
|
Major Bladder Procedures With Mcc
|
1
|
1
|
—
|
—
|
$53,345.97
|
$53,345.97
|
$53,345.97
|
2025-07-01
|
|
9347
|
OTHER
|
Inj Luspatercept-aamt 0.25mg
|
1
|
1
|
—
|
—
|
$52,950.72
|
$52,950.72
|
$52,950.72
|
2025-07-01
|
|
MS DRG V39 (FY2022) 469
|
OTHER
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With McC…
|
10
|
10
|
$55,826.73
|
$36,287.37
35% off
|
$49,127.52
|
$54,710.20
|
$52,281.73
|
2026-07-31
|
|
MS DRG V39 (FY2022) 521
|
OTHER
|
Hip Replacement With Principal Diagnosis Of Hip Fracture With McC
|
10
|
10
|
$55,826.73
|
$36,287.37
35% off
|
$49,127.52
|
$54,710.20
|
$52,281.73
|
2026-07-31
|
|
MS DRG V39 (FY2022) 202
|
OTHER
|
Bronchitis And Asthma With Cc/McC
|
10
|
10
|
$55,563.38
|
$36,116.20
35% off
|
$48,895.77
|
$54,452.11
|
$52,035.10
|
2026-07-31
|
|
MS DRG V39 (FY2022) 409
|
OTHER
|
Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With…
|
10
|
10
|
$54,685.15
|
$35,545.35
35% off
|
$48,122.93
|
$53,591.45
|
$51,212.64
|
2026-07-31
|
|
MS DRG V39 (FY2022) 271
|
OTHER
|
Other Major Cardiovascular Procedures With Cc
|
10
|
10
|
$54,570.66
|
$35,470.93
35% off
|
$48,022.18
|
$53,479.25
|
$51,105.43
|
2026-07-31
|
|
MS DRG V39 (FY2022) 854
|
OTHER
|
Infectious And Parasitic Diseases With O.r. Procedures With Cc
|
10
|
10
|
$54,034.50
|
$35,122.43
35% off
|
$47,550.36
|
$52,953.81
|
$50,603.31
|
2026-07-31
|
|
MS DRG V39 (FY2022) 853
|
OTHER
|
Infectious And Parasitic Diseases With O.r. Procedures With McC
|
10
|
10
|
$53,342.66
|
$34,672.73
35% off
|
$46,941.54
|
$52,275.81
|
$49,955.40
|
2026-07-31
|
|
MS DRG V39 (FY2022) 482
|
OTHER
|
Hip And Femur Procedures Except Major Joint Without Cc/McC
|
10
|
10
|
$50,867.70
|
$33,064.01
35% off
|
$44,763.58
|
$49,850.35
|
$47,637.60
|
2026-07-31
|
|
MS DRG V39 (FY2022) 351
|
OTHER
|
Inguinal And Femoral Hernia Procedures With Cc
|
10
|
10
|
$49,570.76
|
$32,220.99
35% off
|
$43,622.27
|
$48,579.34
|
$46,423.01
|
2026-07-31
|
|
MS DRG V39 (FY2022) 357
|
OTHER
|
Other Digestive System O.r. Procedures With Cc
|
10
|
10
|
$49,415.34
|
$32,119.97
35% off
|
$43,485.50
|
$48,427.03
|
$46,277.46
|
2026-07-31
|
|
100
|
MS_DRG
|
Seizures With Mcc
|
1
|
1
|
—
|
—
|
$45,828.64
|
$45,828.64
|
$45,828.64
|
2025-07-01
|
|
56
|
MS_DRG
|
Degenerative Nervous System Disorders With Mcc
|
1
|
1
|
—
|
—
|
$45,803.32
|
$45,803.32
|
$45,803.32
|
2025-07-01
|
|
MS DRG V39 (FY2022) 371
|
OTHER
|
Major Gastrointestinal Disorders And Peritoneal Infections With McC
|
10
|
10
|
$48,270.71
|
$31,375.96
35% off
|
$42,478.22
|
$47,305.30
|
$45,205.52
|
2026-07-31
|
|
MS DRG V39 (FY2022) 074
|
OTHER
|
Cranial And Peripheral Nerve Disorders Without McC
|
10
|
10
|
$47,551.22
|
$30,908.29
35% off
|
$41,845.07
|
$46,600.20
|
$44,531.72
|
2026-07-31
|
|
469
|
MS_DRG
|
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc…
|
1
|
1
|
—
|
—
|
$44,260.60
|
$44,260.60
|
$44,260.60
|
2025-07-01
|
|
MS DRG V39 (FY2022) 064
|
OTHER
|
Intracranial Hemorrhage Or Cerebral Infarction With McC
|
10
|
10
|
$47,226.01
|
$30,696.91
35% off
|
$41,558.89
|
$46,281.49
|
$44,227.16
|
2026-07-31
|
|
MS DRG V39 (FY2022) 208
|
OTHER
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
10
|
10
|
$47,081.68
|
$30,603.09
35% off
|
$41,431.88
|
$46,140.05
|
$44,091.99
|
2026-07-31
|
|
372
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Cc
|
1
|
1
|
—
|
—
|
$43,401.69
|
$43,401.69
|
$43,401.69
|
2025-07-01
|
|
9057
|
OTHER
|
Inj Nivol Relatlimab 3mg/1mg
|
1
|
1
|
—
|
—
|
$42,914.40
|
$42,914.40
|
$42,914.40
|
2025-07-01
|
|
MS DRG V39 (FY2022) 341
|
OTHER
|
Appendectomy Without Complicated Principal Diagnosis With McC
|
10
|
10
|
$45,038.90
|
$29,275.29
35% off
|
$39,634.23
|
$44,138.12
|
$42,178.93
|
2026-07-31
|
|
MS DRG V39 (FY2022) 722
|
OTHER
|
Malignancy, Male Reproductive System With McC
|
10
|
10
|
$44,860.06
|
$29,159.04
35% off
|
$39,476.85
|
$43,962.86
|
$42,011.45
|
2026-07-31
|
|
MS DRG V39 (FY2022) 699
|
OTHER
|
Other Kidney And Urinary Tract Diagnoses With Cc
|
10
|
10
|
$44,412.32
|
$28,868.01
35% off
|
$39,082.84
|
$43,524.07
|
$41,592.13
|
2026-07-31
|
|
MS DRG V39 (FY2022) 283
|
OTHER
|
Acute Myocardial Infarction, Expired With McC
|
10
|
10
|
$43,858.68
|
$28,508.14
35% off
|
$38,595.64
|
$42,981.51
|
$41,073.65
|
2026-07-31
|
|
C1822
|
HCPCS
|
Impl Kt Neurstm Nevro Chrgr Ns Lf
|
30
|
10
|
$43,750.00
|
$28,437.50
35% off
|
$2,640.00
|
$49,735.00
|
$40,971.88
|
2026-07-31
|
|
MS DRG V39 (FY2022) 988
|
OTHER
|
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc
|
10
|
10
|
$43,049.31
|
$27,982.05
35% off
|
$37,883.39
|
$42,188.32
|
$40,315.68
|
2026-07-31
|
|
329
|
MS_DRG
|
Major Small And Large Bowel Procedures With Mcc
|
3
|
3
|
—
|
—
|
$14,712.32
|
$59,518.69
|
$39,687.87
|
2025-07-01
|
|
MS DRG V39 (FY2022) 419
|
OTHER
|
Laparoscopic Cholecystectomy Without C.d.e. Without Cc/McC
|
10
|
10
|
$41,991.81
|
$27,294.68
35% off
|
$36,952.79
|
$41,151.97
|
$39,325.33
|
2026-07-31
|
|
9494
|
OTHER
|
Injection, Ocrelizumab
|
2
|
2
|
—
|
—
|
$30,655.48
|
$47,979.22
|
$39,317.35
|
2025-07-01
|
|
MS DRG V39 (FY2022) 184
|
OTHER
|
Major Chest Trauma With Cc
|
10
|
10
|
$41,885.63
|
$27,225.66
35% off
|
$36,859.35
|
$41,047.92
|
$39,225.90
|
2026-07-31
|
|
MS DRG V39 (FY2022) 433
|
OTHER
|
Cirrhosis And Alcoholic Hepatitis With Cc
|
10
|
10
|
$41,061.83
|
$26,690.19
35% off
|
$36,134.41
|
$40,240.59
|
$38,454.40
|
2026-07-31
|
|
MS DRG V39 (FY2022) 862
|
OTHER
|
Postoperative And Post-traumatic Infections With McC
|
10
|
10
|
$40,945.66
|
$26,614.68
35% off
|
$36,032.18
|
$40,126.75
|
$38,345.61
|
2026-07-31
|
|
MS DRG V39 (FY2022) 864
|
OTHER
|
Fever And Inflammatory Conditions
|
10
|
10
|
$40,319.63
|
$26,207.76
35% off
|
$35,481.27
|
$39,513.24
|
$37,759.33
|
2026-07-31
|
|
MS DRG V39 (FY2022) 065
|
OTHER
|
Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours
|
10
|
10
|
$40,257.61
|
$26,167.45
35% off
|
$35,426.70
|
$39,452.46
|
$37,701.25
|
2026-07-31
|
|
MS DRG V39 (FY2022) 095
|
OTHER
|
Bacterial And Tuberculous Infections Of Nervous System With Cc
|
10
|
10
|
$39,029.92
|
$25,369.45
35% off
|
$34,346.33
|
$38,249.32
|
$36,551.52
|
2026-07-31
|
|
MS DRG V39 (FY2022) 054
|
OTHER
|
Nervous System Neoplasms With McC
|
10
|
10
|
$38,813.08
|
$25,228.50
35% off
|
$34,155.51
|
$38,036.82
|
$36,348.45
|
2026-07-31
|
|
MS DRG V39 (FY2022) 642
|
OTHER
|
Inborn And Other Disorders Of Metabolism
|
10
|
10
|
$38,802.34
|
$25,221.52
35% off
|
$34,146.06
|
$38,026.29
|
$36,338.39
|
2026-07-31
|
|
MS DRG V39 (FY2022) 563
|
OTHER
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
10
|
10
|
$37,748.01
|
$24,536.21
35% off
|
$33,218.25
|
$36,993.05
|
$35,351.01
|
2026-07-31
|
|
897
|
MS_DRG
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc
|
3
|
3
|
—
|
—
|
$3,189.41
|
$38,778.38
|
$35,346.48
|
2025-07-01
|
|
MS DRG V39 (FY2022) 562
|
OTHER
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
10
|
10
|
$37,094.80
|
$24,111.62
35% off
|
$32,643.42
|
$36,352.90
|
$34,739.28
|
2026-07-31
|
|
MS DRG V39 (FY2022) 698
|
OTHER
|
Other Kidney And Urinary Tract Diagnoses With McC
|
10
|
10
|
$37,060.73
|
$24,089.47
35% off
|
$32,613.44
|
$36,319.52
|
$34,707.37
|
2026-07-31
|
|
MS DRG V39 (FY2022) 565
|
OTHER
|
Other Musculoskeletal System And Connective Tissue Diagnoses With Cc
|
10
|
10
|
$36,750.45
|
$23,887.79
35% off
|
$32,340.40
|
$36,015.44
|
$34,416.80
|
2026-07-31
|
|
9236
|
OTHER
|
Eculizumab Injection
|
1
|
1
|
—
|
—
|
$34,253.23
|
$34,253.23
|
$34,253.23
|
2025-07-01
|
|
MS DRG V39 (FY2022) 069
|
OTHER
|
Transient Ischemia Without Thrombolytic
|
10
|
10
|
$36,203.44
|
$23,532.24
35% off
|
$31,859.03
|
$35,479.37
|
$33,904.52
|
2026-07-31
|
|
MS DRG V39 (FY2022) 326
|
OTHER
|
Stomach, Esophageal And Duodenal Procedures With McC
|
10
|
10
|
$35,966.21
|
$23,378.04
35% off
|
$31,650.26
|
$35,246.89
|
$33,682.35
|
2026-07-31
|
|
MS DRG V39 (FY2022) 339
|
OTHER
|
Appendectomy With Complicated Principal Diagnosis With Cc
|
10
|
10
|
$35,892.97
|
$23,330.43
35% off
|
$31,585.81
|
$35,175.11
|
$33,613.76
|
2026-07-31
|
|
949
|
MS_DRG
|
Aftercare With Cc/Mcc
|
1
|
1
|
—
|
—
|
$33,503.21
|
$33,503.21
|
$33,503.21
|
2025-07-01
|
|
MS DRG V39 (FY2022) 552
|
OTHER
|
Medical Back Problems Without McC
|
10
|
10
|
$35,267.73
|
$22,924.02
35% off
|
$31,035.60
|
$34,562.38
|
$33,028.22
|
2026-07-31
|
|
MS DRG V39 (FY2022) 331
|
OTHER
|
Major Small And Large Bowel Procedures Without Cc/McC
|
10
|
10
|
$35,247.60
|
$22,910.94
35% off
|
$31,017.89
|
$34,542.65
|
$33,009.38
|
2026-07-31
|
|
808
|
MS_DRG
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
1
|
1
|
—
|
—
|
$32,843.79
|
$32,843.79
|
$32,843.79
|
2025-07-01
|
|
MS DRG V39 (FY2022) 337
|
OTHER
|
Peritoneal Adhesiolysis Without Cc/McC
|
10
|
10
|
$34,559.37
|
$22,463.59
35% off
|
$30,412.25
|
$33,868.18
|
$32,364.85
|
2026-07-31
|
|
468
|
MS_DRG
|
Revision Of Hip Or Knee Replacement Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$32,277.60
|
$32,277.60
|
$32,277.60
|
2025-07-01
|
|
371
|
MS_DRG
|
Major Gastrointestinal Disorders And Peritoneal Infections With Mcc
|
1
|
1
|
—
|
—
|
$31,826.67
|
$31,826.67
|
$31,826.67
|
2025-07-01
|
|
MS DRG V39 (FY2022) 682
|
OTHER
|
Renal Failure With McC
|
10
|
10
|
$33,979.55
|
$22,086.71
35% off
|
$29,902.00
|
$33,299.96
|
$31,821.85
|
2026-07-31
|
|
J9043
|
HCPCS
|
Cabazitaxel 60 Mg/1.5 Ml IV Soln Diluted To 10 Mg/ml
|
14
|
14
|
$34,953.73
|
$22,719.92
35% off
|
$191.31
|
$34,254.66
|
$31,807.90
|
2026-07-31
|
|
MS DRG V39 (FY2022) 638
|
OTHER
|
Diabetes With Cc
|
10
|
10
|
$33,802.02
|
$21,971.31
35% off
|
$29,745.78
|
$33,125.98
|
$31,655.59
|
2026-07-31
|
|
MS DRG V39 (FY2022) 314
|
OTHER
|
Other Circulatory System Diagnoses With McC
|
10
|
10
|
$33,780.67
|
$21,957.44
35% off
|
$29,726.99
|
$33,105.06
|
$31,635.60
|
2026-07-31
|
|
MS DRG V39 (FY2022) 377
|
OTHER
|
Gastrointestinal Hemorrhage With McC
|
10
|
10
|
$33,484.90
|
$21,765.19
35% off
|
$29,466.71
|
$32,815.20
|
$31,358.61
|
2026-07-31
|
|
MS DRG V39 (FY2022) 418
|
OTHER
|
Laparoscopic Cholecystectomy Without C.d.e. With Cc
|
10
|
10
|
$33,438.62
|
$21,735.10
35% off
|
$29,425.99
|
$32,769.85
|
$31,315.27
|
2026-07-31
|
|
MS DRG V39 (FY2022) 643
|
OTHER
|
Endocrine Disorders With McC
|
10
|
10
|
$32,801.04
|
$21,320.68
35% off
|
$28,864.92
|
$32,145.02
|
$30,718.18
|
2026-07-31
|
|
391
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc
|
1
|
1
|
—
|
—
|
$30,686.58
|
$30,686.58
|
$30,686.58
|
2025-07-01
|
|
MS DRG V39 (FY2022) 543
|
OTHER
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
10
|
10
|
$32,724.30
|
$21,270.80
35% off
|
$28,797.38
|
$32,069.81
|
$30,646.31
|
2026-07-31
|
|
385
|
MS_DRG
|
Inflammatory Bowel Disease With Mcc
|
1
|
1
|
—
|
—
|
$30,508.01
|
$30,508.01
|
$30,508.01
|
2025-07-01
|
|
MS DRG V39 (FY2022) 391
|
OTHER
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With McC
|
10
|
10
|
$32,440.94
|
$21,086.61
35% off
|
$28,548.03
|
$31,792.12
|
$30,380.94
|
2026-07-31
|
|
MS DRG V39 (FY2022) 306
|
OTHER
|
Cardiac Congenital And Valvular Disorders With McC
|
10
|
10
|
$32,413.14
|
$21,068.54
35% off
|
$28,523.56
|
$31,764.88
|
$30,354.90
|
2026-07-31
|
|
553
|
MS_DRG
|
Bone Diseases And Arthropathies With Mcc
|
1
|
1
|
—
|
—
|
$29,952.85
|
$29,952.85
|
$29,952.85
|
2025-07-01
|
|
522
|
MS_DRG
|
Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc
|
1
|
1
|
—
|
—
|
$29,765.53
|
$29,765.53
|
$29,765.53
|
2025-07-01
|
|
MS DRG V39 (FY2022) 308
|
OTHER
|
Cardiac Arrhythmia And Conduction Disorders With McC
|
10
|
10
|
$31,730.76
|
$20,624.99
35% off
|
$27,923.07
|
$31,096.14
|
$29,715.86
|
2026-07-31
|
|
724
|
MS_DRG
|
Malignancy, Male Reproductive System Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$29,630.73
|
$29,630.73
|
$29,630.73
|
2025-07-01
|
|
MS DRG V39 (FY2022) 536
|
OTHER
|
Fractures Of Hip And Pelvis Without McC
|
10
|
10
|
$31,272.04
|
$20,326.83
35% off
|
$27,519.40
|
$30,646.60
|
$29,286.26
|
2026-07-31
|
|
MS DRG V39 (FY2022) 439
|
OTHER
|
Disorders Of Pancreas Except Malignancy With Cc
|
10
|
10
|
$31,125.03
|
$20,231.27
35% off
|
$27,390.03
|
$30,502.53
|
$29,148.59
|
2026-07-31
|
|
MS DRG V39 (FY2022) 072
|
OTHER
|
Nonspecific Cerebrovascular Disorders Without Cc/McC
|
10
|
10
|
$31,012.27
|
$20,157.98
35% off
|
$27,290.80
|
$30,392.02
|
$29,043.00
|
2026-07-31
|
|
C1820
|
HCPCS
|
Chrgr Neurstm Prdg Sys 25.5-ma 2-1200hz
|
50
|
10
|
$29,917.00
|
$19,446.05
35% off
|
$2,827.44
|
$34,170.64
|
$28,262.50
|
2026-07-31
|
|
MS DRG V39 (FY2022) 180
|
OTHER
|
Respiratory Neoplasms With McC
|
10
|
10
|
$30,172.05
|
$19,611.83
35% off
|
$26,551.40
|
$29,568.61
|
$28,256.12
|
2026-07-31
|
|
MS DRG V39 (FY2022) 066
|
OTHER
|
Intracranial Hemorrhage Or Cerebral Infarction Without Cc/McC
|
10
|
10
|
$30,123.87
|
$19,580.52
35% off
|
$26,509.01
|
$29,521.39
|
$28,211.01
|
2026-07-31
|
|
MS DRG V39 (FY2022) 100
|
OTHER
|
Seizures With McC
|
10
|
10
|
$30,050.70
|
$19,532.96
35% off
|
$26,444.62
|
$29,449.69
|
$28,142.49
|
2026-07-31
|
|
MS DRG V39 (FY2022) 070
|
OTHER
|
Nonspecific Cerebrovascular Disorders With McC
|
10
|
10
|
$29,984.94
|
$19,490.21
35% off
|
$26,386.75
|
$29,385.24
|
$28,080.89
|
2026-07-31
|
|
MS DRG V39 (FY2022) 871
|
OTHER
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With McC
|
10
|
10
|
$29,802.48
|
$19,371.61
35% off
|
$26,226.18
|
$29,206.43
|
$27,910.03
|
2026-07-31
|
|
C1767
|
HCPCS
|
Gentr Neurstm Proclaim 5 1.95x2.19in
|
50
|
10
|
$29,235.00
|
$19,002.75
35% off
|
$24,640.00
|
$34,406.82
|
$27,773.25
|
2026-07-31
|
|
MS DRG V39 (FY2022) 193
|
OTHER
|
Simple Pneumonia And Pleurisy With McC
|
10
|
10
|
$29,485.73
|
$19,165.72
35% off
|
$25,947.44
|
$28,896.02
|
$27,613.39
|
2026-07-31
|
|
MS DRG V39 (FY2022) 340
|
OTHER
|
Appendectomy With Complicated Principal Diagnosis Without Cc/McC
|
10
|
10
|
$29,306.79
|
$19,049.41
35% off
|
$25,789.98
|
$28,720.65
|
$27,445.81
|
2026-07-31
|
|
J9042
|
HCPCS
|
Brentuximab Vedotin 50 Mg IV Solr
|
14
|
14
|
$29,632.47
|
$19,261.11
35% off
|
$196.55
|
$29,039.82
|
$26,965.54
|
2026-07-31
|
|
MS DRG V39 (FY2022) 177
|
OTHER
|
Respiratory Infections And Inflammations With McC
|
10
|
10
|
$28,689.46
|
$18,648.15
35% off
|
$25,246.72
|
$28,115.67
|
$26,867.68
|
2026-07-31
|
|
870
|
MS_DRG
|
Septicemia Or Severe Sepsis With Mv >96 Hours
|
2
|
2
|
—
|
—
|
$17,266.65
|
$36,311.78
|
$26,789.22
|
2025-07-01
|
|
MS DRG V39 (FY2022) 920
|
OTHER
|
Complications Of Treatment With Cc
|
10
|
10
|
$28,537.35
|
$18,549.28
35% off
|
$25,112.87
|
$27,966.60
|
$26,725.22
|
2026-07-31
|
|
399
|
MS_DRG
|
Appendix Procedures Without Cc/Mcc
|
3
|
3
|
—
|
—
|
$6,987.59
|
$47,808.40
|
$26,674.64
|
2025-07-01
|
|
5626
|
OTHER
|
Level 6 Radiation Therapy
|
4
|
4
|
—
|
—
|
$8,433.32
|
$30,564.56
|
$26,588.61
|
2025-07-01
|
|
561
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc
|
2
|
2
|
—
|
—
|
$9,765.94
|
$43,346.31
|
$26,556.12
|
2025-07-01
|
|
330
|
MS_DRG
|
Major Small And Large Bowel Procedures With Cc
|
6
|
6
|
—
|
—
|
$11,497.63
|
$44,842.23
|
$26,425.73
|
2025-07-01
|
|
J9022
|
HCPCS
|
Atezolizumab 1200 Mg/20ml IV Soln
|
14
|
14
|
$29,016.02
|
$18,860.41
35% off
|
$79.75
|
$28,435.70
|
$26,404.58
|
2026-07-31
|
|
563
|
MS_DRG
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
2
|
2
|
—
|
—
|
$22,325.87
|
$30,397.01
|
$26,361.44
|
2025-07-01
|
|
MS DRG V39 (FY2022) 081
|
OTHER
|
Nontraumatic Stupor And Coma Without McC
|
10
|
10
|
$27,903.41
|
$18,137.22
35% off
|
$24,555.00
|
$27,345.34
|
$26,131.54
|
2026-07-31
|
|
MS DRG V39 (FY2022) 438
|
OTHER
|
Disorders Of Pancreas Except Malignancy With McC
|
10
|
10
|
$27,712.73
|
$18,013.27
35% off
|
$24,387.20
|
$27,158.48
|
$25,952.97
|
2026-07-31
|
|
MS DRG V39 (FY2022) 604
|
OTHER
|
Trauma To The Skin, Subcutaneous Tissue And Breast With McC
|
10
|
10
|
$27,573.06
|
$17,922.49
35% off
|
$24,264.29
|
$27,021.60
|
$25,822.17
|
2026-07-31
|
|
637
|
MS_DRG
|
Diabetes With Mcc
|
2
|
2
|
—
|
—
|
$6,251.24
|
$45,081.02
|
$25,666.13
|
2025-07-01
|
|
948
|
MS_DRG
|
Signs And Symptoms Without Mcc
|
2
|
2
|
—
|
—
|
$6,523.57
|
$44,654.27
|
$25,588.92
|
2025-07-01
|
|
MS DRG V39 (FY2022) 206
|
OTHER
|
Other Respiratory System Diagnoses Without McC
|
10
|
10
|
$27,299.01
|
$17,744.36
35% off
|
$24,023.13
|
$26,753.03
|
$25,565.53
|
2026-07-31
|
|
98
|
MS_DRG
|
Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc
|
1
|
1
|
—
|
—
|
$25,417.61
|
$25,417.61
|
$25,417.61
|
2025-07-01
|
|
MS DRG V39 (FY2022) 178
|
OTHER
|
Respiratory Infections And Inflammations With Cc
|
10
|
10
|
$26,840.30
|
$17,446.20
35% off
|
$23,619.46
|
$26,303.49
|
$25,135.94
|
2026-07-31
|
|
864
|
MS_DRG
|
Fever And Inflammatory Conditions
|
1
|
1
|
—
|
—
|
$25,128.80
|
$25,128.80
|
$25,128.80
|
2025-07-01
|
|
MS DRG V39 (FY2022) 101
|
OTHER
|
Seizures Without McC
|
10
|
10
|
$26,795.77
|
$17,417.25
35% off
|
$23,580.28
|
$26,259.85
|
$25,094.24
|
2026-07-31
|
|
MS DRG V39 (FY2022) 787
|
OTHER
|
Cesarean Section Without Sterilization With Cc
|
10
|
10
|
$26,392.54
|
$17,155.15
35% off
|
$23,225.44
|
$25,864.69
|
$24,716.61
|
2026-07-31
|
|
MS DRG V39 (FY2022) 093
|
OTHER
|
Other Disorders Of Nervous System Without Cc/McC
|
10
|
10
|
$26,385.03
|
$17,150.27
35% off
|
$23,218.83
|
$25,857.33
|
$24,709.58
|
2026-07-31
|
|
MS DRG V39 (FY2022) 742
|
OTHER
|
Uterine And Adnexa Procedures For Non-malignancy With Cc/McC
|
10
|
10
|
$26,189.10
|
$17,022.92
35% off
|
$23,046.41
|
$25,665.32
|
$24,526.10
|
2026-07-31
|
|
947
|
MS_DRG
|
Signs And Symptoms With Mcc
|
2
|
2
|
—
|
—
|
$19,549.20
|
$29,153.58
|
$24,351.39
|
2025-07-01
|
|
884
|
MS_DRG
|
Organic Disturbances And Intellectual Disability
|
1
|
1
|
—
|
—
|
$24,312.70
|
$24,312.70
|
$24,312.70
|
2025-07-01
|
|
MS DRG V39 (FY2022) 537
|
OTHER
|
Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/McC
|
10
|
10
|
$25,909.37
|
$16,841.09
35% off
|
$22,800.25
|
$25,391.18
|
$24,264.12
|
2026-07-31
|
|
MS DRG V39 (FY2022) 291
|
OTHER
|
Heart Failure And Shock With McC
|
10
|
10
|
$25,901.08
|
$16,835.70
35% off
|
$22,792.95
|
$25,383.06
|
$24,256.36
|
2026-07-31
|
|
MS DRG V39 (FY2022) 280
|
OTHER
|
Acute Myocardial Infarction, Discharged Alive With McC
|
10
|
10
|
$25,742.47
|
$16,732.61
35% off
|
$22,653.37
|
$25,227.62
|
$24,107.82
|
2026-07-31
|
|
607
|
MS_DRG
|
Minor Skin Disorders Without Mcc
|
1
|
1
|
—
|
—
|
$23,819.47
|
$23,819.47
|
$23,819.47
|
2025-07-01
|
|
MS DRG V39 (FY2022) 884
|
OTHER
|
Organic Disturbances And Intellectual Disability
|
10
|
10
|
$25,399.78
|
$16,509.86
35% off
|
$22,351.81
|
$24,891.78
|
$23,786.90
|
2026-07-31
|
|
MS DRG V39 (FY2022) 872
|
OTHER
|
Septicemia Or Severe Sepsis Without Mv >96 Hours Without McC
|
10
|
10
|
$25,198.40
|
$16,378.96
35% off
|
$22,174.59
|
$24,694.43
|
$23,598.30
|
2026-07-31
|
|
MS DRG V39 (FY2022) 309
|
OTHER
|
Cardiac Arrhythmia And Conduction Disorders With Cc
|
10
|
10
|
$25,142.12
|
$16,342.38
35% off
|
$22,125.07
|
$24,639.28
|
$23,545.60
|
2026-07-31
|
|
331
|
MS_DRG
|
Major Small And Large Bowel Procedures Without Cc/Mcc
|
2
|
1
|
—
|
—
|
$8,759.53
|
$38,229.79
|
$23,494.66
|
2025-07-01
|
|
MS DRG V39 (FY2022) 689
|
OTHER
|
Kidney And Urinary Tract Infections With McC
|
10
|
10
|
$25,082.84
|
$16,303.85
35% off
|
$22,072.90
|
$24,581.18
|
$23,490.08
|
2026-07-31
|
|
J9144
|
HCPCS
|
Daratumumab-hyaluronidase-fihj 1800-30000 Mg-ut/15ml Sc Soln
|
14
|
14
|
$25,656.98
|
$16,677.04
35% off
|
$45.10
|
$25,143.84
|
$23,347.85
|
2026-07-31
|
|
9492
|
OTHER
|
Inj., Durvalumab, 10 Mg
|
4
|
3
|
—
|
—
|
$11,170.18
|
$38,156.08
|
$22,949.31
|
2025-07-01
|
|
MS DRG V39 (FY2022) 786
|
OTHER
|
Cesarean Section Without Sterilization With McC
|
10
|
10
|
$24,470.87
|
$15,906.07
35% off
|
$21,534.37
|
$23,981.45
|
$22,916.97
|
2026-07-31
|
|
MS DRG V39 (FY2022) 788
|
OTHER
|
Cesarean Section Without Sterilization Without Cc/McC
|
10
|
10
|
$24,425.96
|
$15,876.87
35% off
|
$21,494.84
|
$23,937.44
|
$22,874.91
|
2026-07-31
|
|
MS DRG V39 (FY2022) 442
|
OTHER
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc
|
10
|
10
|
$24,303.41
|
$15,797.22
35% off
|
$21,387.00
|
$23,817.34
|
$22,760.15
|
2026-07-31
|
|
MS DRG V39 (FY2022) 378
|
OTHER
|
Gastrointestinal Hemorrhage With Cc
|
10
|
10
|
$24,266.43
|
$15,773.18
35% off
|
$21,354.46
|
$23,781.10
|
$22,725.51
|
2026-07-31
|
|
MS DRG V39 (FY2022) 189
|
OTHER
|
Pulmonary Edema And Respiratory Failure
|
10
|
10
|
$24,234.80
|
$15,752.62
35% off
|
$21,326.62
|
$23,750.10
|
$22,695.89
|
2026-07-31
|
|
956
|
MS_DRG
|
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma
|
1
|
1
|
—
|
—
|
$22,683.81
|
$22,683.81
|
$22,683.81
|
2025-07-01
|
|
MS DRG V39 (FY2022) 205
|
OTHER
|
Other Respiratory System Diagnoses With McC
|
10
|
10
|
$23,936.52
|
$15,558.74
35% off
|
$21,064.14
|
$23,457.79
|
$22,416.55
|
2026-07-31
|
|
554
|
MS_DRG
|
Bone Diseases And Arthropathies Without Mcc
|
1
|
1
|
—
|
—
|
$22,386.86
|
$22,386.86
|
$22,386.86
|
2025-07-01
|
|
482
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$22,343.85
|
$22,343.85
|
$22,343.85
|
2025-07-01
|
|
CPT� 37228
|
OTHER
|
Revsc Opn/Prq Tib/Pero W/Angioplasty Uni
|
14
|
14
|
$24,597.00
|
$15,988.05
35% off
|
$412.40
|
$34,237.61
|
$22,137.30
|
2026-07-31
|
|
MS DRG V39 (FY2022) 809
|
OTHER
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
10
|
10
|
$23,506.75
|
$15,279.39
35% off
|
$20,685.94
|
$23,036.62
|
$22,014.07
|
2026-07-31
|
|
556
|
MS_DRG
|
Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc
|
1
|
1
|
—
|
—
|
$21,942.61
|
$21,942.61
|
$21,942.61
|
2025-07-01
|
|
MS DRG V39 (FY2022) 392
|
OTHER
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without McC
|
10
|
10
|
$23,354.98
|
$15,180.74
35% off
|
$20,552.38
|
$22,887.88
|
$21,871.94
|
2026-07-31
|
|
MS DRG V39 (FY2022) 683
|
OTHER
|
Renal Failure With Cc
|
10
|
10
|
$23,269.98
|
$15,125.49
35% off
|
$20,477.58
|
$22,804.58
|
$21,792.33
|
2026-07-31
|
|
MS DRG V39 (FY2022) 289
|
OTHER
|
Acute And Subacute Endocarditis With Cc
|
10
|
10
|
$23,042.78
|
$14,977.81
35% off
|
$20,277.65
|
$22,581.92
|
$21,579.57
|
2026-07-31
|
|
854
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Cc
|
6
|
5
|
—
|
—
|
$12,535.13
|
$62,536.47
|
$21,308.47
|
2025-07-01
|
|
MS DRG V39 (FY2022) 637
|
OTHER
|
Diabetes With McC
|
10
|
10
|
$22,590.93
|
$14,684.10
35% off
|
$19,880.02
|
$22,139.11
|
$21,156.40
|
2026-07-31
|
|
435
|
MS_DRG
|
Malignancy Of Hepatobiliary System Or Pancreas With Mcc
|
1
|
1
|
—
|
—
|
$21,130.79
|
$21,130.79
|
$21,130.79
|
2025-07-01
|
|
MS DRG V39 (FY2022) 194
|
OTHER
|
Simple Pneumonia And Pleurisy With Cc
|
10
|
10
|
$22,497.30
|
$14,623.25
35% off
|
$19,797.62
|
$22,047.35
|
$21,068.72
|
2026-07-31
|
|
MS DRG V39 (FY2022) 743
|
OTHER
|
Uterine And Adnexa Procedures For Non-malignancy Without Cc/McC
|
10
|
10
|
$22,413.94
|
$14,569.06
35% off
|
$19,724.27
|
$21,965.66
|
$20,990.65
|
2026-07-31
|
|
MS DRG V39 (FY2022) 381
|
OTHER
|
Complicated Peptic Ulcer With Cc
|
10
|
10
|
$22,315.79
|
$14,505.26
35% off
|
$19,637.90
|
$21,869.47
|
$20,898.74
|
2026-07-31
|
|
MS DRG V39 (FY2022) 811
|
OTHER
|
Red Blood Cell Disorders With McC
|
10
|
10
|
$22,282.63
|
$14,483.71
35% off
|
$19,608.71
|
$21,836.98
|
$20,867.68
|
2026-07-31
|
|
MS DRG V39 (FY2022) 798
|
OTHER
|
Vaginal Delivery With Sterilization And/Or D&c Without Cc/McC
|
10
|
10
|
$22,039.89
|
$14,325.93
35% off
|
$19,395.10
|
$21,599.09
|
$20,640.36
|
2026-07-31
|
|
J3380
|
HCPCS
|
Vedolizumab 300 Mg IV Solr
|
14
|
14
|
$22,679.32
|
$14,741.56
35% off
|
$21.29
|
$22,225.73
|
$20,638.18
|
2026-07-31
|
|
562
|
MS_DRG
|
Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit…
|
2
|
2
|
—
|
—
|
$14,400.15
|
$26,440.30
|
$20,420.22
|
2025-07-01
|
|
418
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Cc
|
2
|
2
|
—
|
—
|
$12,400.62
|
$28,412.23
|
$20,406.42
|
2025-07-01
|
|
MS DRG V39 (FY2022) 551
|
OTHER
|
Medical Back Problems With McC
|
10
|
10
|
$21,632.58
|
$14,061.18
35% off
|
$19,036.67
|
$21,199.93
|
$20,258.91
|
2026-07-31
|
|
MS DRG V39 (FY2022) 639
|
OTHER
|
Diabetes Without Cc/McC
|
10
|
10
|
$21,553.69
|
$14,009.90
35% off
|
$18,967.25
|
$21,122.62
|
$20,185.03
|
2026-07-31
|
|
MS DRG V39 (FY2022) 947
|
OTHER
|
Signs And Symptoms With McC
|
10
|
10
|
$21,484.71
|
$13,965.06
35% off
|
$18,906.54
|
$21,055.02
|
$20,120.43
|
2026-07-31
|
|
551
|
MS_DRG
|
Medical Back Problems With Mcc
|
2
|
2
|
—
|
—
|
$17,058.11
|
$22,977.44
|
$20,017.78
|
2025-07-01
|
|
MS DRG V39 (FY2022) 292
|
OTHER
|
Heart Failure And Shock With Cc
|
10
|
10
|
$21,260.22
|
$13,819.14
35% off
|
$18,708.99
|
$20,835.02
|
$19,910.19
|
2026-07-31
|
|
9276
|
OTHER
|
Cabazitaxel Injection
|
1
|
1
|
—
|
—
|
$19,890.38
|
$19,890.38
|
$19,890.38
|
2025-07-01
|
|
417
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. With Mcc
|
2
|
2
|
—
|
—
|
$15,673.51
|
$24,039.26
|
$19,856.38
|
2025-07-01
|
|
9353
|
OTHER
|
Inj Fam-trastu Deru-nxki 1mg
|
1
|
1
|
—
|
—
|
$19,573.64
|
$19,573.64
|
$19,573.64
|
2025-07-01
|
|
MS DRG V39 (FY2022) 949
|
OTHER
|
Aftercare With Cc/McC
|
10
|
10
|
$20,886.56
|
$13,576.26
35% off
|
$18,380.17
|
$20,468.83
|
$19,560.26
|
2026-07-31
|
|
J9301
|
HCPCS
|
Obinutuzumab 1000 Mg/40ml IV Soln
|
14
|
14
|
$21,466.54
|
$13,953.25
35% off
|
$64.54
|
$21,037.21
|
$19,534.56
|
2026-07-31
|
|
193
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Mcc
|
12
|
7
|
—
|
—
|
$10,251.45
|
$40,735.15
|
$19,509.26
|
2025-07-01
|
|
MS DRG V39 (FY2022) 641
|
OTHER
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Withou…
|
10
|
10
|
$20,811.57
|
$13,527.52
35% off
|
$18,314.18
|
$20,395.34
|
$19,490.04
|
2026-07-31
|
|
786
|
MS_DRG
|
Cesarean Section Without Sterilization With Mcc
|
1
|
1
|
—
|
—
|
$19,420.95
|
$19,420.95
|
$19,420.95
|
2025-07-01
|
|
639
|
MS_DRG
|
Diabetes Without Cc/Mcc
|
2
|
2
|
—
|
—
|
$7,720.23
|
$30,978.89
|
$19,349.56
|
2025-07-01
|
|
313
|
MS_DRG
|
Chest Pain
|
1
|
1
|
—
|
—
|
$19,330.95
|
$19,330.95
|
$19,330.95
|
2025-07-01
|
|
682
|
MS_DRG
|
Renal Failure With Mcc
|
7
|
4
|
—
|
—
|
$6,386.50
|
$36,169.90
|
$19,277.17
|
2025-07-01
|
|
1488
|
OTHER
|
Injection, Ramucirumab
|
2
|
2
|
—
|
—
|
$17,516.54
|
$20,959.42
|
$19,237.98
|
2025-07-01
|
|
MS DRG V39 (FY2022) 092
|
OTHER
|
Other Disorders Of Nervous System With Cc
|
10
|
10
|
$20,500.93
|
$13,325.60
35% off
|
$18,040.82
|
$20,090.91
|
$19,199.12
|
2026-07-31
|
|
MS DRG V39 (FY2022) 812
|
OTHER
|
Red Blood Cell Disorders Without McC
|
10
|
10
|
$20,492.00
|
$13,319.80
35% off
|
$18,032.96
|
$20,082.16
|
$19,190.76
|
2026-07-31
|
|
282
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc
|
4
|
3
|
—
|
—
|
$2,531.30
|
$29,932.46
|
$19,156.83
|
2025-07-01
|
|
MS DRG V39 (FY2022) 813
|
OTHER
|
Coagulation Disorders
|
10
|
10
|
$20,449.66
|
$13,292.28
35% off
|
$17,995.70
|
$20,040.67
|
$19,151.11
|
2026-07-31
|
|
5613
|
OTHER
|
Level 3 Therapeutic Radiation Treatment Preparation
|
6
|
4
|
—
|
—
|
$7,180.78
|
$31,361.28
|
$18,954.67
|
2025-07-01
|
|
MS DRG V39 (FY2022) 190
|
OTHER
|
Chronic Obstructive Pulmonary Disease With McC
|
10
|
10
|
$20,225.80
|
$13,146.77
35% off
|
$17,798.70
|
$19,821.28
|
$18,941.46
|
2026-07-31
|
|
788
|
MS_DRG
|
Cesarean Section Without Sterilization Without Cc/Mcc
|
7
|
6
|
—
|
—
|
$12,535.13
|
$24,438.31
|
$18,877.70
|
2025-07-01
|
|
283
|
MS_DRG
|
Acute Myocardial Infarction, Expired With Mcc
|
2
|
2
|
—
|
—
|
$16,680.42
|
$21,033.09
|
$18,856.75
|
2025-07-01
|
|
MS DRG V39 (FY2022) 896
|
OTHER
|
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With McC
|
10
|
10
|
$20,016.59
|
$13,010.78
35% off
|
$17,614.60
|
$19,616.26
|
$18,745.53
|
2026-07-31
|
|
Q4130
|
HCPCS
|
Tiss Stma Recon Strttice 20x25 Firm
|
10
|
10
|
$19,926.00
|
$12,951.90
35% off
|
$17,534.88
|
$19,527.48
|
$18,660.70
|
2026-07-31
|
|
MS DRG V39 (FY2022) 176
|
OTHER
|
Pulmonary Embolism Without McC
|
10
|
10
|
$19,917.17
|
$12,946.16
35% off
|
$17,527.11
|
$19,518.83
|
$18,652.43
|
2026-07-31
|
|
207
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support >96 Hours
|
1
|
1
|
—
|
—
|
$18,495.26
|
$18,495.26
|
$18,495.26
|
2025-07-01
|
|
MS DRG V39 (FY2022) 179
|
OTHER
|
Respiratory Infections And Inflammations Without Cc/McC
|
10
|
10
|
$19,549.05
|
$12,706.88
35% off
|
$17,203.16
|
$19,158.07
|
$18,307.68
|
2026-07-31
|
|
MS DRG V39 (FY2022) 690
|
OTHER
|
Kidney And Urinary Tract Infections Without McC
|
10
|
10
|
$19,503.02
|
$12,676.96
35% off
|
$17,162.66
|
$19,112.96
|
$18,264.58
|
2026-07-31
|
|
MS DRG V39 (FY2022) 603
|
OTHER
|
Cellulitis Without McC
|
10
|
10
|
$19,425.73
|
$12,626.72
35% off
|
$17,094.64
|
$19,037.22
|
$18,192.19
|
2026-07-31
|
|
208
|
MS_DRG
|
Respiratory System Diagnosis With Ventilator Support <=96 Hours
|
2
|
2
|
—
|
—
|
$8,004.80
|
$28,189.45
|
$18,097.12
|
2025-07-01
|
|
374
|
MS_DRG
|
Digestive Malignancy With Mcc
|
2
|
2
|
—
|
—
|
$12,047.40
|
$23,797.90
|
$17,922.65
|
2025-07-01
|
|
787
|
MS_DRG
|
Cesarean Section Without Sterilization With Cc
|
4
|
4
|
—
|
—
|
$6,283.88
|
$24,222.77
|
$17,824.99
|
2025-07-01
|
|
180
|
MS_DRG
|
Respiratory Neoplasms With Mcc
|
2
|
1
|
—
|
—
|
$13,250.01
|
$22,341.23
|
$17,795.62
|
2025-07-01
|
|
73
|
MS_DRG
|
Cranial And Peripheral Nerve Disorders With Mcc
|
2
|
2
|
—
|
—
|
$15,565.43
|
$20,017.04
|
$17,791.24
|
2025-07-01
|
|
MS DRG V39 (FY2022) 388
|
OTHER
|
Gastrointestinal Obstruction With McC
|
10
|
10
|
$18,798.70
|
$12,219.16
35% off
|
$16,542.86
|
$18,422.73
|
$17,604.99
|
2026-07-31
|
|
644
|
MS_DRG
|
Endocrine Disorders With Cc
|
2
|
2
|
—
|
—
|
$12,757.64
|
$22,338.37
|
$17,548.00
|
2025-07-01
|
|
CPT� 37221
|
OTHER
|
Revsc Opn/Prq Iliac Art W/Stnt Plmt & Angioplsty
|
14
|
14
|
$19,450.00
|
$12,642.50
35% off
|
$374.92
|
$25,340.25
|
$17,505.00
|
2026-07-31
|
|
J1300
|
HCPCS
|
Eculizumab 300 Mg/30ml IV Soln
|
14
|
14
|
$19,179.66
|
$12,466.78
35% off
|
$229.23
|
$18,796.07
|
$17,453.49
|
2026-07-31
|
|
MS DRG V39 (FY2022) 558
|
OTHER
|
Tendonitis, Myositis And Bursitis Without McC
|
10
|
10
|
$18,609.08
|
$12,095.90
35% off
|
$16,375.99
|
$18,236.90
|
$17,427.40
|
2026-07-31
|
|
J2506
|
HCPCS
|
Pegfilgrastim 6 Mg/0.6ml Sc Sosy
|
12
|
12
|
$18,870.90
|
$12,266.09
35% off
|
$134.04
|
$18,493.48
|
$17,389.53
|
2026-07-31
|
|
MS DRG V39 (FY2022) 440
|
OTHER
|
Disorders Of Pancreas Except Malignancy Without Cc/McC
|
10
|
10
|
$18,538.30
|
$12,049.90
35% off
|
$16,313.70
|
$18,167.53
|
$17,361.12
|
2026-07-31
|
|
9453
|
OTHER
|
Injection, Nivolumab
|
4
|
3
|
—
|
—
|
$12,754.98
|
$37,370.26
|
$17,284.18
|
2025-07-01
|
|
MS DRG V39 (FY2022) 175
|
OTHER
|
Pulmonary Embolism With McC Or Acute Cor Pulmonale
|
10
|
10
|
$18,260.29
|
$11,869.19
35% off
|
$16,069.06
|
$17,895.08
|
$17,100.76
|
2026-07-31
|
|
MS DRG V39 (FY2022) 441
|
OTHER
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With McC
|
10
|
10
|
$18,254.99
|
$11,865.74
35% off
|
$16,064.39
|
$17,889.89
|
$17,095.80
|
2026-07-31
|
|
MS DRG V39 (FY2022) 281
|
OTHER
|
Acute Myocardial Infarction, Discharged Alive With Cc
|
10
|
10
|
$18,243.19
|
$11,858.07
35% off
|
$16,054.01
|
$17,878.33
|
$17,084.74
|
2026-07-31
|
|
MS DRG V39 (FY2022) 554
|
OTHER
|
Bone Diseases And Arthropathies Without McC
|
10
|
10
|
$18,161.31
|
$11,804.85
35% off
|
$15,981.95
|
$17,798.08
|
$17,008.07
|
2026-07-31
|
|
543
|
MS_DRG
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
1
|
1
|
—
|
—
|
$16,796.83
|
$16,796.83
|
$16,796.83
|
2025-07-01
|
|
CPT� 69706
|
OTHER
|
Surg Nasopharyngoscopy Dilat Eustachian Tube Bi
|
12
|
12
|
$18,602.00
|
$12,091.30
35% off
|
$232.47
|
$17,857.92
|
$16,741.80
|
2026-07-31
|
|
559
|
MS_DRG
|
Aftercare, Musculoskeletal System And Connective Tissue With Mcc
|
1
|
1
|
—
|
—
|
$16,685.76
|
$16,685.76
|
$16,685.76
|
2025-07-01
|
|
MS DRG V39 (FY2022) 374
|
OTHER
|
Digestive Malignancy With McC
|
10
|
10
|
$17,803.68
|
$11,572.39
35% off
|
$15,667.24
|
$17,447.61
|
$16,673.15
|
2026-07-31
|
|
5623
|
OTHER
|
Level 3 Radiation Therapy
|
19
|
11
|
—
|
—
|
$945.10
|
$102,912.87
|
$16,619.88
|
2025-07-01
|
|
183
|
MS_DRG
|
Major Chest Trauma With Mcc
|
1
|
1
|
—
|
—
|
$16,510.24
|
$16,510.24
|
$16,510.24
|
2025-07-01
|
|
841
|
MS_DRG
|
Lymphoma And Non-acute Leukemia With Cc
|
1
|
1
|
—
|
—
|
$16,402.74
|
$16,402.74
|
$16,402.74
|
2025-07-01
|
|
871
|
MS_DRG
|
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc
|
17
|
9
|
—
|
—
|
$4,550.58
|
$50,036.62
|
$16,308.85
|
2025-07-01
|
|
MS DRG V39 (FY2022) 087
|
OTHER
|
Traumatic Stupor And Coma <1 Hour Without Cc/McC
|
10
|
10
|
$17,387.04
|
$11,301.58
35% off
|
$15,300.60
|
$17,039.30
|
$16,282.97
|
2026-07-31
|
|
MS DRG V39 (FY2022) 057
|
OTHER
|
Degenerative Nervous System Disorders Without McC
|
10
|
10
|
$17,275.64
|
$11,229.17
35% off
|
$15,202.56
|
$16,930.13
|
$16,178.64
|
2026-07-31
|
|
564
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc
|
6
|
4
|
—
|
—
|
$2,781.96
|
$50,998.36
|
$16,168.49
|
2025-07-01
|
|
181
|
MS_DRG
|
Respiratory Neoplasms With Cc
|
1
|
1
|
—
|
—
|
$15,957.02
|
$15,957.02
|
$15,957.02
|
2025-07-01
|
|
CPT� 30468
|
OTHER
|
Rpr Nsl Vlv Collapse Subq/Sbmcsl Lat Wall Implt
|
12
|
12
|
$17,723.00
|
$11,519.95
35% off
|
$160.87
|
$18,603.41
|
$15,950.70
|
2026-07-31
|
|
394
|
MS_DRG
|
Other Digestive System Diagnoses With Cc
|
3
|
3
|
—
|
—
|
$12,418.89
|
$29,506.89
|
$15,947.05
|
2025-07-01
|
|
133
|
MS_DRG
|
Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/Mcc
|
1
|
1
|
—
|
—
|
$15,839.90
|
$15,839.90
|
$15,839.90
|
2025-07-01
|
|
202
|
MS_DRG
|
Bronchitis And Asthma With Cc/Mcc
|
2
|
2
|
—
|
—
|
$13,978.45
|
$17,605.28
|
$15,791.86
|
2025-07-01
|
|
J9306
|
HCPCS
|
Pertuzumab 420 Mg/14ml IV Soln
|
14
|
14
|
$17,341.86
|
$11,272.21
35% off
|
$13.56
|
$16,995.02
|
$15,781.09
|
2026-07-31
|
|
MS DRG V39 (FY2022) 644
|
OTHER
|
Endocrine Disorders With Cc
|
10
|
10
|
$16,800.76
|
$10,920.49
35% off
|
$14,784.67
|
$16,464.74
|
$15,733.91
|
2026-07-31
|
|
MS DRG V39 (FY2022) 687
|
OTHER
|
Kidney And Urinary Tract Neoplasms With Cc
|
10
|
10
|
$16,790.25
|
$10,913.66
35% off
|
$14,775.42
|
$16,454.45
|
$15,724.07
|
2026-07-31
|
|
MS DRG V39 (FY2022) 389
|
OTHER
|
Gastrointestinal Obstruction With Cc
|
10
|
10
|
$16,786.07
|
$10,910.95
35% off
|
$14,771.74
|
$16,450.35
|
$15,720.16
|
2026-07-31
|
|
312
|
MS_DRG
|
Syncope And Collapse
|
4
|
3
|
—
|
—
|
$7,113.02
|
$35,325.10
|
$15,709.09
|
2025-07-01
|
|
MS DRG V39 (FY2022) 201
|
OTHER
|
Pneumothorax Without Cc/McC
|
10
|
10
|
$16,638.42
|
$10,814.97
35% off
|
$14,641.81
|
$16,305.65
|
$15,581.88
|
2026-07-31
|
|
481
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Cc
|
2
|
2
|
—
|
—
|
$13,580.52
|
$17,577.71
|
$15,579.11
|
2025-07-01
|
|
83
|
MS_DRG
|
Traumatic Stupor And Coma >1 Hour With Cc
|
1
|
1
|
—
|
—
|
$15,460.82
|
$15,460.82
|
$15,460.82
|
2025-07-01
|
|
445
|
MS_DRG
|
Disorders Of The Biliary Tract With Cc
|
2
|
2
|
—
|
—
|
$10,201.41
|
$20,635.93
|
$15,418.67
|
2025-07-01
|
|
MS DRG V39 (FY2022) 810
|
OTHER
|
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co…
|
10
|
10
|
$16,460.21
|
$10,699.14
35% off
|
$14,484.98
|
$16,131.01
|
$15,414.99
|
2026-07-31
|
|
MS DRG V39 (FY2022) 544
|
OTHER
|
Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With…
|
10
|
10
|
$16,453.08
|
$10,694.50
35% off
|
$14,478.71
|
$16,124.02
|
$15,408.31
|
2026-07-31
|
|
689
|
MS_DRG
|
Kidney And Urinary Tract Infections With Mcc
|
2
|
2
|
—
|
—
|
$3,798.61
|
$26,850.64
|
$15,324.62
|
2025-07-01
|
|
MS DRG V39 (FY2022) 445
|
OTHER
|
Disorders Of The Biliary Tract With Cc
|
10
|
10
|
$16,330.11
|
$10,614.57
35% off
|
$14,370.50
|
$16,003.51
|
$15,293.15
|
2026-07-31
|
|
MS DRG V39 (FY2022) 195
|
OTHER
|
Simple Pneumonia And Pleurisy Without Cc/McC
|
10
|
10
|
$16,260.84
|
$10,569.55
35% off
|
$14,309.54
|
$15,935.62
|
$15,228.28
|
2026-07-31
|
|
178
|
MS_DRG
|
Respiratory Infections And Inflammations With Cc
|
3
|
3
|
—
|
—
|
$12,247.67
|
$20,516.09
|
$15,044.99
|
2025-07-01
|
|
MS DRG V39 (FY2022) 684
|
OTHER
|
Renal Failure Without Cc/McC
|
10
|
10
|
$15,944.92
|
$10,364.20
35% off
|
$14,031.53
|
$15,626.02
|
$14,932.42
|
2026-07-31
|
|
958
|
MS_DRG
|
Other O.r. Procedures For Multiple Significant Trauma With Cc
|
1
|
1
|
—
|
—
|
$14,873.51
|
$14,873.51
|
$14,873.51
|
2025-07-01
|
|
480
|
MS_DRG
|
Hip And Femur Procedures Except Major Joint With Mcc
|
1
|
1
|
—
|
—
|
$14,711.60
|
$14,711.60
|
$14,711.60
|
2025-07-01
|
|
280
|
MS_DRG
|
Acute Myocardial Infarction, Discharged Alive With Mcc
|
9
|
6
|
—
|
—
|
$2,315.30
|
$24,338.99
|
$14,588.72
|
2025-07-01
|
|
MS DRG V39 (FY2022) 293
|
OTHER
|
Heart Failure And Shock Without Cc/McC
|
10
|
10
|
$15,571.84
|
$10,121.70
35% off
|
$13,703.22
|
$15,260.40
|
$14,583.03
|
2026-07-31
|
|
MS DRG V39 (FY2022) 951
|
OTHER
|
Other Factors Influencing Health Status
|
10
|
10
|
$15,521.23
|
$10,088.80
35% off
|
$13,658.68
|
$15,210.81
|
$14,535.64
|
2026-07-31
|
|
J9205
|
HCPCS
|
Irinotecan Hcl Liposome 43 Mg/10ml IV Inj
|
14
|
14
|
$15,952.50
|
$10,369.13
35% off
|
$57.37
|
$15,633.45
|
$14,516.77
|
2026-07-31
|
|
MS DRG V39 (FY2022) 640
|
OTHER
|
Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M…
|
10
|
10
|
$15,429.03
|
$10,028.87
35% off
|
$13,577.55
|
$15,120.45
|
$14,449.28
|
2026-07-31
|
|
1207
|
OTHER
|
Octreotide Injection, Depot
|
2
|
2
|
—
|
—
|
$8,598.51
|
$20,136.06
|
$14,367.28
|
2025-07-01
|
|
9474
|
OTHER
|
Inj Irinotecan Liposome 1 Mg
|
1
|
1
|
—
|
—
|
$14,340.79
|
$14,340.79
|
$14,340.79
|
2025-07-01
|
|
J9271
|
HCPCS
|
Pembrolizumab 100 Mg/4ml IV Soln
|
14
|
14
|
$15,706.45
|
$10,209.19
35% off
|
$52.75
|
$15,392.32
|
$14,292.87
|
2026-07-31
|
|
1476
|
OTHER
|
Obinutuzumab Inj
|
1
|
1
|
—
|
—
|
$14,254.30
|
$14,254.30
|
$14,254.30
|
2025-07-01
|
|
690
|
MS_DRG
|
Kidney And Urinary Tract Infections Without Mcc
|
4
|
3
|
—
|
—
|
$6,378.82
|
$21,080.46
|
$14,170.73
|
2025-07-01
|
|
CPT� 37191
|
OTHER
|
Ins Intrvas Vc Filtr W/wo Vas Acs Vsl Selxn Rs&I
|
14
|
14
|
$15,732.00
|
$10,225.80
35% off
|
$209.03
|
$16,794.21
|
$14,158.80
|
2026-07-31
|
|
381
|
MS_DRG
|
Complicated Peptic Ulcer With Cc
|
1
|
1
|
—
|
—
|
$14,132.03
|
$14,132.03
|
$14,132.03
|
2025-07-01
|
|
540
|
MS_DRG
|
Osteomyelitis With Cc
|
4
|
4
|
—
|
—
|
$13,575.78
|
$16,205.61
|
$14,099.03
|
2025-07-01
|
|
175
|
MS_DRG
|
Pulmonary Embolism With Mcc Or Acute Cor Pulmonale
|
1
|
1
|
—
|
—
|
$14,082.42
|
$14,082.42
|
$14,082.42
|
2025-07-01
|
|
592
|
MS_DRG
|
Skin Ulcers With Mcc
|
1
|
1
|
—
|
—
|
$14,040.35
|
$14,040.35
|
$14,040.35
|
2025-07-01
|
|
419
|
MS_DRG
|
Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc
|
2
|
2
|
—
|
—
|
$8,303.34
|
$19,692.03
|
$13,997.68
|
2025-07-01
|
|
MS DRG V39 (FY2022) 443
|
OTHER
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without C…
|
10
|
10
|
$14,945.10
|
$9,714.32
35% off
|
$13,151.69
|
$14,646.20
|
$13,996.09
|
2026-07-31
|
|
5114
|
OTHER
|
Level 4 Musculoskeletal Procedures
|
1
|
1
|
—
|
—
|
$13,975.82
|
$13,975.82
|
$13,975.82
|
2025-07-01
|
|
441
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc
|
1
|
1
|
—
|
—
|
$13,943.67
|
$13,943.67
|
$13,943.67
|
2025-07-01
|
|
565
|
MS_DRG
|
Other Musculoskeletal System And Connective Tissue Diagnoses With Cc
|
3
|
2
|
—
|
—
|
$7,394.09
|
$18,232.52
|
$13,941.45
|
2025-07-01
|
|
MS DRG V39 (FY2022) 390
|
OTHER
|
Gastrointestinal Obstruction Without Cc/McC
|
10
|
10
|
$14,828.42
|
$9,638.47
35% off
|
$13,049.01
|
$14,531.85
|
$13,886.81
|
2026-07-31
|
|
MS DRG V39 (FY2022) 372
|
OTHER
|
Major Gastrointestinal Disorders And Peritoneal Infections With Cc
|
10
|
10
|
$14,704.14
|
$9,557.69
35% off
|
$12,939.64
|
$14,410.06
|
$13,770.42
|
2026-07-31
|
|
MS DRG V39 (FY2022) 948
|
OTHER
|
Signs And Symptoms Without McC
|
10
|
10
|
$14,682.55
|
$9,543.66
35% off
|
$12,920.64
|
$14,388.90
|
$13,750.20
|
2026-07-31
|
|
MS DRG V39 (FY2022) 559
|
OTHER
|
Aftercare, Musculoskeletal System And Connective Tissue With McC
|
10
|
10
|
$14,607.11
|
$9,494.62
35% off
|
$12,854.26
|
$14,314.97
|
$13,679.56
|
2026-07-31
|
|
48
|
MS_DRG
|
Other Disorders Of The Eye Age 0-17
|
1
|
1
|
—
|
—
|
$13,655.77
|
$13,655.77
|
$13,655.77
|
2025-07-01
|
|
138
|
MS_DRG
|
Mouth Procedures Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$13,556.67
|
$13,556.67
|
$13,556.67
|
2025-07-01
|
|
853
|
MS_DRG
|
Infectious And Parasitic Diseases With O.r. Procedures With Mcc
|
1
|
1
|
—
|
—
|
$13,538.30
|
$13,538.30
|
$13,538.30
|
2025-07-01
|
|
MS DRG V39 (FY2022) 071
|
OTHER
|
Nonspecific Cerebrovascular Disorders With Cc
|
10
|
10
|
$14,409.15
|
$9,365.95
35% off
|
$12,680.05
|
$14,120.97
|
$13,494.17
|
2026-07-31
|
|
9378
|
OTHER
|
Daratumumab, Hyaluronidase
|
2
|
2
|
—
|
—
|
$8,601.89
|
$18,257.76
|
$13,429.82
|
2025-07-01
|
|
194
|
MS_DRG
|
Simple Pneumonia And Pleurisy With Cc
|
4
|
4
|
—
|
—
|
$7,178.77
|
$22,433.93
|
$13,405.91
|
2025-07-01
|
|
MS DRG V39 (FY2022) 315
|
OTHER
|
Other Circulatory System Diagnoses With Cc
|
10
|
10
|
$14,307.90
|
$9,300.14
35% off
|
$12,590.95
|
$14,021.74
|
$13,399.35
|
2026-07-31
|
|
389
|
MS_DRG
|
Gastrointestinal Obstruction With Cc
|
4
|
3
|
—
|
—
|
$10,959.40
|
$22,164.35
|
$13,362.10
|
2025-07-01
|
|
420
|
MS_DRG
|
Hepatobiliary Diagnostic Procedures With Mcc
|
1
|
1
|
—
|
—
|
$13,311.07
|
$13,311.07
|
$13,311.07
|
2025-07-01
|
|
442
|
MS_DRG
|
Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc
|
2
|
2
|
—
|
—
|
$2,719.80
|
$23,709.71
|
$13,214.76
|
2025-07-01
|
|
439
|
MS_DRG
|
Disorders Of Pancreas Except Malignancy With Cc
|
2
|
2
|
—
|
—
|
$12,535.13
|
$13,856.29
|
$13,195.71
|
2025-07-01
|
|
638
|
MS_DRG
|
Diabetes With Cc
|
5
|
5
|
—
|
—
|
$10,438.14
|
$21,936.68
|
$13,165.52
|
2025-07-01
|
|
351
|
MS_DRG
|
Inguinal And Femoral Hernia Procedures With Cc
|
1
|
1
|
—
|
—
|
$13,060.04
|
$13,060.04
|
$13,060.04
|
2025-07-01
|
|
1471
|
OTHER
|
Injection, Pertuzumab, 1 Mg
|
1
|
1
|
—
|
—
|
$13,049.68
|
$13,049.68
|
$13,049.68
|
2025-07-01
|
|
919
|
MS_DRG
|
Complications Of Treatment With Mcc
|
1
|
1
|
—
|
—
|
$13,012.80
|
$13,012.80
|
$13,012.80
|
2025-07-01
|
|
244
|
MS_DRG
|
Permanent Cardiac Pacemaker Implant Without Cc/Mcc
|
1
|
1
|
—
|
—
|
$13,008.93
|
$13,008.93
|
$13,008.93
|
2025-07-01
|
|
805
|
MS_DRG
|
Vaginal Delivery Without Sterilization Or D&c With Mcc
|
2
|
2
|
—
|
—
|
$12,122.58
|
$13,784.87
|
$12,953.73
|
2025-07-01
|
|
308
|
MS_DRG
|
Cardiac Arrhythmia And Conduction Disorders With Mcc
|
4
|
4
|
—
|
—
|
$8,286.11
|
$22,038.53
|
$12,949.35
|
2025-07-01
|
|
52
|
MS_DRG
|
Spinal Disorders And Injuries With Cc/Mcc
|
1
|
1
|
—
|
—
|
$12,892.36
|
$12,892.36
|
$12,892.36
|
2025-07-01
|
|
190
|
MS_DRG
|
Chronic Obstructive Pulmonary Disease With Mcc
|
1
|
1
|
—
|
—
|
$12,891.63
|
$12,891.63
|
$12,891.63
|
2025-07-01
|
|
CPT� 41135
|
OTHER
|
Part Exc Tongue,Unilat Rad Neck
|
14
|
14
|
$14,187.00
|
$9,221.55
35% off
|
$1,383.11
|
$16,705.49
|
$12,768.30
|
2026-07-31
|
|
602
|
MS_DRG
|
Cellulitis With Mcc
|
1
|
1
|
—
|
—
|
$12,757.64
|
$12,757.64
|
$12,757.64
|
2025-07-01
|
|
392
|
MS_DRG
|
Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc
|
5
|
4
|
—
|
—
|
$2,825.58
|
$17,879.95
|
$12,754.44
|
2025-07-01
|
|
CPT� 37184
|
OTHER
|
Prim Prq Trluml Mchnl Thrmbc N-cor N-icra 1st
|
14
|
14
|
$14,096.00
|
$9,162.40
35% off
|
$397.45
|
$13,956.72
|
$12,686.40
|
2026-07-31
|
|
MS DRG V39 (FY2022) 557
|
OTHER
|
Tendonitis, Myositis And Bursitis With McC
|
10
|
10
|
$13,507.26
|
$8,779.72
35% off
|
$11,886.39
|
$13,237.11
|
$12,649.55
|
2026-07-31
|
|
MS DRG V39 (FY2022) 694
|
OTHER
|
Urinary Stones Without McC
|
10
|
10
|
$13,388.47
|
$8,702.51
35% off
|
$11,781.85
|
$13,120.70
|
$12,538.31
|
2026-07-31
|
|
9215
|
OTHER
|
Cetuximab Injection
|
2
|
2
|
—
|
—
|
$9,189.27
|
$15,829.78
|
$12,509.53
|
2025-07-01
|
|
291
|
MS_DRG
|
Heart Failure And Shock With Mcc
|
13
|
7
|
—
|
—
|
$8,278.41
|
$21,108.75
|
$12,410.60
|
2025-07-01
|
|
177
|
MS_DRG
|
Respiratory Infections And Inflammations With Mcc
|
9
|
6
|
—
|
—
|
$5,014.93
|
$19,323.94
|
$12,393.43
|
2025-07-01
|
|
643
|
MS_DRG
|
Endocrine Disorders With Mcc
|
1
|
1
|
—
|
—
|
$12,358.27
|
$12,358.27
|
$12,358.27
|
2025-07-01
|
|
398
|
MS_DRG
|
Appendix Procedures With Cc
|
1
|
1
|
—
|
—
|
$12,296.12
|
$12,296.12
|
$12,296.12
|
2025-07-01
|
|
MS DRG V39 (FY2022) 566
|
OTHER
|
Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/McC
|
10
|
10
|
$13,060.56
|
$8,489.36
35% off
|
$11,493.29
|
$12,799.35
|
$12,231.22
|
2026-07-31
|
|
CPT� 37187
|
OTHER
|
Prq Transluminal Mechanical Thrombectomy Vein
|
14
|
14
|
$13,589.00
|
$8,832.85
35% off
|
$368.63
|
$14,052.84
|
$12,230.10
|
2026-07-31
|
|
MS DRG V39 (FY2022) 916
|
OTHER
|
Allergic Reactions Without McC
|
10
|
10
|
$13,033.85
|
$8,472.00
35% off
|
$11,469.79
|
$12,773.17
|
$12,206.20
|
2026-07-31
|